James Kevin Pierre-Glaude, DPT,ATC,CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033256 Issued in NY

Practice address

607 Middle Country Rd
Coram, NY 11727-3362

Phone

(631) 732-3900

NPI assigned

Aug 23, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of New York at Stony Brook, School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Pierre-Glaude Physical Therapy and Athletic Training SVCS, P.C.Group PAC ID 1153610530, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James Pierre-Glaude Physical Therapy and Athletic Training SVCS, P.C.

  • Physical Therapist
  • Nesconset, NY
  • NPI 1851754857
  Medicare reassignment Care Compare group NPD Authorized official
• Island Sports Physical Therapy of Coram PC

  • Physical Therapist
  • Coram, NY
  • NPI 1083681613
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1477833432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273362",
            "telephone_number": "631-732-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273362",
            "telephone_number": "631-732-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE-GLAUDE",
        "first_name": "JAMES",
        "middle_name": "KEVIN",
        "credential": "DPT,ATC,CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ashley Petillo, BCBA, LBA
• James Cutreal Phillips, DPT
• Physical Therapy Rehab Plus, P.C.
• Lee Ann Piccola-Voight, LCSWR
• Michele Piediscalzo
• Bonnie C Pina, LPN
• Christine Pittarese, RN
• Jillian Pizzolo, LPN
• Anastasia Plaunova
• Brendan Pointdujour

• Physical Therapist in Coram, NY
• Providers in Coram, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.